lOMoARcPSD|44532475
2024 MED-SURG
(MEDICAL SURGICAL)
HESI VERSION 2 (V2)
EXAM
ALL 55 QUESTIONS &
ANSWERS
(ALL ANSWERS ARE 100% CORRECT)
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, lOMoARcPSD|44532475
1.
Patient Scenario: A 68-year-old patient presents to the hospital with abdominal pain and distension. The patient
has a history of chronic alcohol abuse. Which condition should the nurse suspect?
Answer: The nurse should suspect liver cirrhosis as the patient has a history of chronic alcohol abuse and presents with
abdominal pain and distension.
2. Patient Scenario: A 45-year-old patient with type 2 diabetes has a blood glucose level of 360 mg/dL. The patient
is experiencing symptoms of dehydration. What should the nurse suspect?
Answer: The nurse should suspect hyperglycemia as the patient's blood glucose level is significantly high, and symptoms
of dehydration are present.
3. Patient Scenario: A 72-year-old patient presents to the emergency department with chest pain and shortness of
breath. The patient has a history of hypertension and smoking. Which condition should the nurse suspect?
Answer: The nurse should suspect a myocardial infarction (heart attack) as the patient presents with chest pain and
shortness of breath, and has a history of hypertension and smoking.
4. Patient Scenario: A 55-year-old patient is admitted to the hospital with a suspected gastrointestinal bleed. The
patient is experiencing abdominal pain, weakness, and dizziness. What should the nurse suspect?
Answer: The nurse should suspect anemia as the patient is experiencing symptoms of abdominal pain, weakness, and
dizziness, which are common in patients with a gastrointestinal bleed.
5. Patient Scenario: A 65-year-old patient presents to the emergency department with acute onset of confusion
and lethargy. The patient has a history of hypertension and diabetes. Which condition should the nurse suspect?
Answer: The nurse should suspect hyperglycemia or hypoglycemia as the patient has a history of hypertension and
diabetes and is experiencing acute onset of confusion and lethargy.
6. Patient Scenario: A 50-year-old patient with a history of asthma presents to the clinic with shortness of breath
and wheezing. What is the appropriate nursing intervention?
Answer: The appropriate nursing intervention is to administer a bronchodilator medication and assess the patient's
oxygen saturation levels.
7. Patient Scenario: A 60-year-old patient with a history of heart failure presents to the clinic with edema in the legs
and difficulty breathing. What is the appropriate nursing intervention?
Answer: The appropriate nursing intervention is to administer diuretic medication and monitor the patient's fluid intake
and output.
8. Patient Scenario: A 45-year-old patient with a history of rheumatoid arthritis presents to the clinic with joint pain
and stiffness. What is the appropriate nursing intervention?
Answer: The appropriate nursing intervention is to administer non-steroidal anti-inflammatory drugs (NSAIDs) and assess
the patient's range of motion and mobility.
9. Patient Scenario: A 70-year-old patient with a history of chronic obstructive pulmonary disease (COPD) presents
to the clinic with increased difficulty breathing and coughing up blood. What is the appropriate nursing
intervention?
Answer: The appropriate nursing intervention is to administer bronchodilator medication and oxygen therapy, monitor
the patient's respiratory status, and assess for signs of respiratory distress.
Downloaded by madiba South Africa stuvia ()
2024 MED-SURG
(MEDICAL SURGICAL)
HESI VERSION 2 (V2)
EXAM
ALL 55 QUESTIONS &
ANSWERS
(ALL ANSWERS ARE 100% CORRECT)
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
1.
Patient Scenario: A 68-year-old patient presents to the hospital with abdominal pain and distension. The patient
has a history of chronic alcohol abuse. Which condition should the nurse suspect?
Answer: The nurse should suspect liver cirrhosis as the patient has a history of chronic alcohol abuse and presents with
abdominal pain and distension.
2. Patient Scenario: A 45-year-old patient with type 2 diabetes has a blood glucose level of 360 mg/dL. The patient
is experiencing symptoms of dehydration. What should the nurse suspect?
Answer: The nurse should suspect hyperglycemia as the patient's blood glucose level is significantly high, and symptoms
of dehydration are present.
3. Patient Scenario: A 72-year-old patient presents to the emergency department with chest pain and shortness of
breath. The patient has a history of hypertension and smoking. Which condition should the nurse suspect?
Answer: The nurse should suspect a myocardial infarction (heart attack) as the patient presents with chest pain and
shortness of breath, and has a history of hypertension and smoking.
4. Patient Scenario: A 55-year-old patient is admitted to the hospital with a suspected gastrointestinal bleed. The
patient is experiencing abdominal pain, weakness, and dizziness. What should the nurse suspect?
Answer: The nurse should suspect anemia as the patient is experiencing symptoms of abdominal pain, weakness, and
dizziness, which are common in patients with a gastrointestinal bleed.
5. Patient Scenario: A 65-year-old patient presents to the emergency department with acute onset of confusion
and lethargy. The patient has a history of hypertension and diabetes. Which condition should the nurse suspect?
Answer: The nurse should suspect hyperglycemia or hypoglycemia as the patient has a history of hypertension and
diabetes and is experiencing acute onset of confusion and lethargy.
6. Patient Scenario: A 50-year-old patient with a history of asthma presents to the clinic with shortness of breath
and wheezing. What is the appropriate nursing intervention?
Answer: The appropriate nursing intervention is to administer a bronchodilator medication and assess the patient's
oxygen saturation levels.
7. Patient Scenario: A 60-year-old patient with a history of heart failure presents to the clinic with edema in the legs
and difficulty breathing. What is the appropriate nursing intervention?
Answer: The appropriate nursing intervention is to administer diuretic medication and monitor the patient's fluid intake
and output.
8. Patient Scenario: A 45-year-old patient with a history of rheumatoid arthritis presents to the clinic with joint pain
and stiffness. What is the appropriate nursing intervention?
Answer: The appropriate nursing intervention is to administer non-steroidal anti-inflammatory drugs (NSAIDs) and assess
the patient's range of motion and mobility.
9. Patient Scenario: A 70-year-old patient with a history of chronic obstructive pulmonary disease (COPD) presents
to the clinic with increased difficulty breathing and coughing up blood. What is the appropriate nursing
intervention?
Answer: The appropriate nursing intervention is to administer bronchodilator medication and oxygen therapy, monitor
the patient's respiratory status, and assess for signs of respiratory distress.
Downloaded by madiba South Africa stuvia ()
